NURS 612 Exam 1 Study Guide

intimate partner violence - ANSWERSA range of abusive behaviors perpetrated by someone who is or was involved in an intimate relationship with the victim Symptom Analysis - ANSWERSquestions specifying the onset, location, duration, intensity, characteristics, and aggravating and alleviating factors CAGE - ANSWERSQuestionaire for discussing the use of alcohol, which includes cutting down, annoyance by criticism, guilty, and eye openers. Family History (FH) - ANSWERSBlood relatives in the immediate or extended family with illnesses that have features similar to the patient's concern Chief Concern - ANSWERSA brief statement in the clients own words of why he is seeking care Personal and Social History - ANSWERSWork, marriage, sexual, and spiritual experiences; the patient's use of alcohol, tobacco, and drugs. Functional Assessment - ANSWERSQuestions concerning the ability to take care of one's daily needs that are a part of the review of systems Past Medical History - ANSWERSThe Patient's state of overall health before the present problem. History of Present Illness (HPI) - ANSWERSa step by step evaluation of the circumstances that surround the primary reason for the patient's visit Roman is a 25-year-old woman who presents to you with fatigue. She is a colleague graduate, working as a waitress because she has not been able to secure a job in her field. What is the chiefs complaint? - ANSWERSChief Complaint is fatigue What questions would you ask to complete the HPI? - ANSWERSWhen did the fatigue start? What does it feel like? How often does it occur? What factors have made it improve or get worse? How severe is the fatigue? What is your goal when you do the ROS? - ANSWERSThe goals of the ROS is to identify presence or absence of health issues in each of the body systems. Patient behaviors that can create tension for the examiner - ANSWERSSeduction, Depression Anxiety Excessive Flattery Financial Concerns Silence Examiner Behavior to decrease tension - ANSWERSDo not respond to seductive behavior - Be Courteous, calm, firm, and direct from the start. Send the message that the relationship will remain professional. Do not Neglect depression - Allow the interview to continue but come back with gentle questioning to indicate that you think that there may be more to the story than what has been discussed. Examiner Behavior to decrease tension - ANSWERSAvoid overload of information (anxiety). Pace the conversation with a calm demeanor; avoid allowing the anxiety to be contagious. Be aware that this is possibly a manipulation on the part of the patient; it is easy to be taken in by such manipulations Be aware that the patient may be concerned about the cost of health care; be prepared to talk about it with the patient Be patient. Allow a moment of silence. Silence allows the patient a moment of reflection. Which of the following will best facilitate the interview when obtaining a history from a deaf patient who can read lips? A. Speaking loudly B. Using gestures C. Speaking slowly D. Sitting on the side of the patient - ANSWERSC. Speaking slowly Approximately what percentage of patients interviewed have a sexual orientation other than heterosexual? A. 2% B. 5% C. 10% D 20% - ANSWERSC. 10% During a history, the patient indicates that he has an uncle and a brother with sickle cell disease. Which of the following is an appropriate method by which to document this information? A. Document this as chief complaint. B. Include it in the family history. C. Include this in past medical history. D. Incorporate this information in the social history - ANSWERSB. Include it in the family history Which approach is recommended at the onset of an interview? A. Ask questions in a structured manner. B. Introduce yourself, giving details of your background and qualifications. C. Be open-ended, letting the patient explain the problem or reason for the visit. D. Start with the family history and past medical history to determine the underlying problem. - ANSWERSC. Be open-ended, letting the patient explain the problem or reason for the visit Which of the following questions would be the most likely to elicit an inaccurate patient response? A. "Where do you feel the pain" B. "How does this situation make you feel?" C. "What happened after you notified your injury?" D. "That was a horrible experience, wasn't it?" - ANSWERSD. "That was a horrible experience, wasn't it?" Repeating a patient's answer is an attempt to A. Confirm an accurate understanding B. Discourage patient anger or hostility C. Teach the patient new medical terms D. Allow the patient to change his or her response - ANSWERSA. Confirm an accurate understanding Which of the following is unique to a pediatric history? A. Family history B. Developmental History